HillCwk6QualityAudit
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West Virginia Junior College, Charleston *
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Course
101
Subject
Mechanical Engineering
Date
Feb 20, 2024
Type
docx
Pages
2
Uploaded by lunagirl84
Chasidy Hill
Week 6
6/10/23
Quality Audit
1.
Mary Smith presents today for removal of a lower lid eye lesion
and an adjacent tissue transfer is performed. The lesion is identified as 1 sq cm. CPT Codes: 14060 and 67966
67966 code is not needed because it does not the right code. 14060 is the accurate code that includes tissue transfer.
2.
Patient presents today for an injection to the lumbar interspace for pain control. Patient was placed in the prone position, and his lumbar area was sterilized. Local anesthesia is administered. The epidural space was then injected with 12 cc of 0.5% Lidocaine and 30 mg of Aristocort. The needle was removed, and the wound was dressed. There were no complications noted. CPT Code: 62323 62323 is the accurate code for injection or diagnostic or therapeutic substance(s) Eg anesthetic, antispasmodic, opioid steroid solution not including neurolytic substance including needle or catheter placement interlaminar epidural or subarachnoid lumbar or sacral (Caudal) with imaging
guidance (ie, fluoroscopy or CT)
3.
Margaret Lane presents to the hospital today for a bilateral diagnostic mammogram. CPT Code: 77065-50
77065-50 is an incorrect code. This code is for when the procedure is done unilateral. The accurate code is 77066 diagnostic mammography including computer-aided detection (CAD) when performed bilateral.
4.
Peter Dane presented to the hospital today for a diagnostic colonoscopy through stoma with removal of polyp by snare technique.
CPT Code: 44392
44392 is an incorrect code, this code is for removal of tumors, polyps, or other lesions by hot biopsy forceps. The accurate code is 44394 which is the removal of tumors, polyps, or other lesions by snare technique.
5.
Dr. Hayes is billing for a vaginal delivery including an episiotomy. CPT Codes: 59409-26 and 57210
The accurate coding when billing for a vaginal delivery including an episiotomy is 59409 without the modifier and without the code 57210.
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